Individual
MS. LISA JOAN GRANICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3500 N 99TH ST, MILWAUKEE, WI 53222-2418
(414) 736-7314
Mailing address
3500 N 99TH ST, MILWAUKEE, WI 53222-2418
(414) 736-7314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
150308-30
WI
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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